LEGACY HCFA-1500 (274) IB FORM FIELD CONTENT (364.7)
Name
Value
FORM FIELD REFERENCE
LEGACY HCFA-1500
SECURITY LEVEL
NATIONAL,NO EDIT
DATA ELEMENT
N-OTH INSURED FULL NAME
PAD CHARACTER
NO PAD REQUIRED
FORMAT CODE
N IBZ M IBZ=IBXDATA K IBXDATA S IBXDATA=$G(IBZ(1))
